• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBERS AND TITLES: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus and 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 1, Primary Care Case Management (PCCM).

ADOPTED RULE NUMBER:

• Read more about MaineCare Notice of Agency Rule-making Adoption, REPEAL of MaineCare Benefits Manual, MaineCare Benefits Manual, Chapter VI, Section 1, Primary Care Case Management (PCCM)

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBERS AND TITLES: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus and 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 1, Primary Care Case Management (PCCM).

ADOPTED RULE NUMBER:

• Read more about REPEAL Of MaineCare Benefits Manual, Ch. VI, Sec. 1, Primary Care Case Management (PCCM)F

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBERS AND TITLES: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus and 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 1, Primary Care Case Management (PCCM).

ADOPTED RULE NUMBER:

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBERS AND TITLES: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus and 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter VI, Section 1, Primary Care Case Management (PCCM).

ADOPTED RULE NUMBER:

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapters II and III, Section 91, Health Home Services

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapters II and III, Section 91, Health Home Services

ADOPTED RULE NUMBER:

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 90, Physician Services

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 90, Physician Services

ADOPTED RULE NUMBER:

CONCISE SUMMARY: This final rule makes the following changes:

• Read more about Electronic Visit Verification (EVV) Place of Service (POS) Update

Billing Electronic Visit Verification (EVV) Services with Place of Service (POS) 40, CR 106958   

This update replaces the previous instructions to use POS 10 from February 19, 2021. The use of POS 10 has changed and is no longer available to indicate claims submitted for services rendered in the three scenarios listed below. Please use POS 40 instead. 

• Read more about Electronic Visit Verification (EVV) Place of Service Update

Billing Electronic Visit Verification (EVV) Services with Place of Service (POS) 40, CR 106958   

This update replaces the previous instructions to use POS 10 from February 19, 2021. The use of POS 10 has changed and is no longer available to indicate claims submitted for services rendered in the three scenarios listed below. Please use POS 40 instead. 

• Read more about MaineCare’s Secondary Billing Instructions Update, CR 106251  

We have updated the billing instructions for submitting claims when MaineCare is the secondary payer.

• Read more about Updated Payment Rates and Prior Authorization (PA) Details for Long-Term Services and Supports and Home and Community-Based Service Providers

Updated Payment Rates and Prior Authorization (PA) Details for Long-Term Services and Supports and Home and Community-Based Service Providers

On May 3, 2022, we updated the rates for MaineCare Benefits Manual, Chapter II, Sections 12, 18, 19, 20, 21, 29, and 96 that are associated with Part AAAA of P.L 2021, ch. 398, retroactively to January 1, 2022. These claims are available for providers to adjust to the higher rate. Please adjust your claims within 120 days of this notice.